Which pharmacists are performing antimicrobial stewardship: A national survey and a call for collaborative efforts
Abstract Objectives: To determine how pharmacists with formal antimicrobial stewardship program (ASP) responsibilities prioritize their time and pharmacists without formal antimicrobial stewardship program responsibilities contribute to ASP activities. Design: A nationwide survey. Respondents:...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2022-01-01
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| Series: | Antimicrobial Stewardship & Healthcare Epidemiology |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2732494X2100245X/type/journal_article |
| _version_ | 1811157184186155008 |
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| author | Brandon Dionne Jamie L. Wagner Daniel B. Chastain Meagen Rosenthal Monica V. Mahoney Christopher M. Bland |
| author_facet | Brandon Dionne Jamie L. Wagner Daniel B. Chastain Meagen Rosenthal Monica V. Mahoney Christopher M. Bland |
| author_sort | Brandon Dionne |
| collection | DOAJ |
| description |
Abstract
Objectives:
To determine how pharmacists with formal antimicrobial stewardship program (ASP) responsibilities prioritize their time and pharmacists without formal antimicrobial stewardship program responsibilities contribute to ASP activities.
Design:
A nationwide survey.
Respondents:
Members of the American College of Clinical Pharmacy who subscribe to the following practice and research network e-mail listservs: infectious diseases, adult medicine, cardiology, critical care, hematology–oncology, immunology and transplantation, and pediatrics.
Methods:
A survey was distributed via listservs. Respondents were asked about their personal and institutional demographics and ASP activities.
Results:
In total, 245 pharmacists responded: 135 pharmacists with formal antimicrobial stewardship program responsibilities; 110 pharmacists without formal antimicrobial stewardship program responsibilities. Although most respondents had completed a general pharmacy residency (85%), only 20% had completed an infectious diseases (ID) specialty residency. Among pharmacists with formal antimicrobial stewardship program responsibilities, one-third had no formal training or certification in ID or ASP. Pharmacists without formal antimicrobial stewardship program responsibilities spent ∼12.5% of their time per week on ASP activities, whereas pharmacists with formal antimicrobial stewardship program responsibilities spent 28% of their time performing non-ASP activities. Pharmacists with formal antimicrobial stewardship program responsibilities were more likely than pharmacists without formal antimicrobial stewardship program responsibilities to perform antibiotic guideline development (P < .001), antibiotic-related education (P = .002), and direct notification of rapid diagnostic results (P = .018). Pharmacists with formal antimicrobial stewardship program responsibilities without formal ID training or certification spent less time on ASP activities and were more likely to perform lower-level interventions.
Conclusions:
Many ASP activities are being performed by pharmacists without formal ID training. To ensure the future success of ASPs, pharmacists with formal antimicrobial stewardship program responsibilities should have adequate training to meet more advanced metrics, and more pharmacists without formal antimicrobial stewardship program responsibilities should be included in basic interventions.
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| first_indexed | 2024-04-10T05:01:42Z |
| format | Article |
| id | doaj.art-bc9f315104b643e0acb2b66000b5bfd0 |
| institution | Directory Open Access Journal |
| issn | 2732-494X |
| language | English |
| last_indexed | 2024-04-10T05:01:42Z |
| publishDate | 2022-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Antimicrobial Stewardship & Healthcare Epidemiology |
| spelling | doaj.art-bc9f315104b643e0acb2b66000b5bfd02023-03-09T12:28:17ZengCambridge University PressAntimicrobial Stewardship & Healthcare Epidemiology2732-494X2022-01-01210.1017/ash.2021.245Which pharmacists are performing antimicrobial stewardship: A national survey and a call for collaborative effortsBrandon Dionne0https://orcid.org/0000-0003-2851-8883Jamie L. Wagner1https://orcid.org/0000-0002-6006-7894Daniel B. Chastain2https://orcid.org/0000-0002-4018-0195Meagen Rosenthal3https://orcid.org/0000-0002-7092-8088Monica V. Mahoney4https://orcid.org/0000-0002-5071-2159Christopher M. Bland5https://orcid.org/0000-0001-8806-4583Department of Pharmacy and Health Systems Sciences, School of Pharmacy and Pharmaceutical Sciences, Northeastern University, Boston, MassachusettsDepartment of Pharmacy Practice, School of Pharmacy, University of Mississippi, Jackson, MississippiDepartment of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, Albany, GeorgiaDepartment of Pharmacy Administration, School of Pharmacy, University of Mississippi, University, MississippiBeth Israel Deaconess Medical Center, Boston, MassachusettsDepartment of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, Savannah, Georgia Abstract Objectives: To determine how pharmacists with formal antimicrobial stewardship program (ASP) responsibilities prioritize their time and pharmacists without formal antimicrobial stewardship program responsibilities contribute to ASP activities. Design: A nationwide survey. Respondents: Members of the American College of Clinical Pharmacy who subscribe to the following practice and research network e-mail listservs: infectious diseases, adult medicine, cardiology, critical care, hematology–oncology, immunology and transplantation, and pediatrics. Methods: A survey was distributed via listservs. Respondents were asked about their personal and institutional demographics and ASP activities. Results: In total, 245 pharmacists responded: 135 pharmacists with formal antimicrobial stewardship program responsibilities; 110 pharmacists without formal antimicrobial stewardship program responsibilities. Although most respondents had completed a general pharmacy residency (85%), only 20% had completed an infectious diseases (ID) specialty residency. Among pharmacists with formal antimicrobial stewardship program responsibilities, one-third had no formal training or certification in ID or ASP. Pharmacists without formal antimicrobial stewardship program responsibilities spent ∼12.5% of their time per week on ASP activities, whereas pharmacists with formal antimicrobial stewardship program responsibilities spent 28% of their time performing non-ASP activities. Pharmacists with formal antimicrobial stewardship program responsibilities were more likely than pharmacists without formal antimicrobial stewardship program responsibilities to perform antibiotic guideline development (P < .001), antibiotic-related education (P = .002), and direct notification of rapid diagnostic results (P = .018). Pharmacists with formal antimicrobial stewardship program responsibilities without formal ID training or certification spent less time on ASP activities and were more likely to perform lower-level interventions. Conclusions: Many ASP activities are being performed by pharmacists without formal ID training. To ensure the future success of ASPs, pharmacists with formal antimicrobial stewardship program responsibilities should have adequate training to meet more advanced metrics, and more pharmacists without formal antimicrobial stewardship program responsibilities should be included in basic interventions. https://www.cambridge.org/core/product/identifier/S2732494X2100245X/type/journal_article |
| spellingShingle | Brandon Dionne Jamie L. Wagner Daniel B. Chastain Meagen Rosenthal Monica V. Mahoney Christopher M. Bland Which pharmacists are performing antimicrobial stewardship: A national survey and a call for collaborative efforts Antimicrobial Stewardship & Healthcare Epidemiology |
| title | Which pharmacists are performing antimicrobial stewardship: A national survey and a call for collaborative efforts |
| title_full | Which pharmacists are performing antimicrobial stewardship: A national survey and a call for collaborative efforts |
| title_fullStr | Which pharmacists are performing antimicrobial stewardship: A national survey and a call for collaborative efforts |
| title_full_unstemmed | Which pharmacists are performing antimicrobial stewardship: A national survey and a call for collaborative efforts |
| title_short | Which pharmacists are performing antimicrobial stewardship: A national survey and a call for collaborative efforts |
| title_sort | which pharmacists are performing antimicrobial stewardship a national survey and a call for collaborative efforts |
| url | https://www.cambridge.org/core/product/identifier/S2732494X2100245X/type/journal_article |
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